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Mistreated: Why We Think We're Getting Good Health Care -- and Why We're Usually Wrong Mistreated: Why We Think We're Getting Good Health Care -- and Why We're Usually Wrong by Robert Pearl
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“When you design a health-insurance reimbursement system that financially rewards doctors for providing patients with more care (as opposed to better care), that’s exactly what doctors value and do. And when third-party insurers pay for patient care regardless of the outcomes, patients also assume that more care is better, even when research and data demonstrate that’s not the case. And when we pay physicians more to take care of heart attacks or strokes than to prevent them in the first place, they value emergency intervention dramatically more than disease prevention.”
Robert Pearl, Mistreated: Why We Think We're Getting Good Health Care -- and Why We're Usually Wrong
“When out-of-pocket costs continued to rise for people, many faulted the ACA, rather than the underlying cost inflation. When doctors were forced to see more patients than before to maintain their incomes, they too pointed at the ACA, rather than the underlying inefficiencies of the health care system. And when insurers narrowed their networks, everyone concluded the ACA was the culprit, if only because both changes happened at around the same time.”
Robert Pearl, Mistreated: Why We Think We're Getting Good Health Care -- and Why We're Usually Wrong